COMPLETE KIDNEY CARE – NPI #1306111877
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

COMPLETE KIDNEY CARE is a provider located in ODESSA, TX. NPPES has assigned the NPI number 1306111877 to COMPLETE KIDNEY CARE on March 17, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COMPLETE KIDNEY CARE” is a dba name, the actual legal business name for this organization is COMPREHENSIVE KIDNEY INSTITUTE OF WEST TEXAS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 14 years ago on Jul 03, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMPLETE KIDNEY CARE below.

NPI Profile for
COMPREHENSIVE KIDNEY INSTITUTE OF WEST TEXAS

NPI Number
1306111877
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMPREHENSIVE KIDNEY INSTITUTE OF WEST TEXAS
Doing Business As (dba): COMPLETE KIDNEY CARE
Primary location
318 N ALLEGHANEY AVE
SUITE 200
ODESSA, TX 79761-5052
Phone: (432) 558-0497 Fax: (432) 558-0498
Mailing address
3323 N MIDLAND DR
SUITE 113-106
MIDLAND, TX 79707-4608
Phone: (432) 558-0497 Fax: (432) 558-0498
Organization Subpart
No
Authorized Official
RONALD GIBBONS
PRESIDENT
Phone: (432) 558-0497
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 TX N0787
207R00000X
- Internal Medicine		 TX N0787

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.